a Overall proportion of adherence to national malaria management was computed and means that the providers adhered to both malaria diagnosis and prescriptions guidelines. Prescription adherence meant that a provider prescribed anti-malarial after testing for malaria and only to those who tested positive. Prescriptions of ACT to patients without testing for malaria and to those with negative test results constituted non-adherence to prescription and were factored in computing for overall level of adherence to guidelines